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General NPI Number Information
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NPI Number | 1194914713
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Entity Type | Organization
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Legal Business Name | LAWRENCE M HOUSTON , MD CHARTERED
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Dates
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Enumeration Date | 10/19/2007
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Last Update Date | 06/09/2008
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Provider Practice Location Address
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Address Line | 10730 NALL AVE SUITE 100
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City | OVERLAND PARK
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State | KS
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Zip | 66211-1206
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Country | US
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Telephone | 913-383-0711
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Fax |
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Provider Business Mailing Address
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Address Line | 10730 NALL AVE SUITE 100
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City | OVERLAND PARK
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State | KS
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Zip | 66211-1206
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Country | US
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Telephone | 913-383-0711
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Fax |
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Authorized Official
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Title or Position | PHYSICAN/OWNER
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Name | MR. LAWRENCE MORLEY HOUSTON
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Credential | MD
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Telephone | 913-383-0711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 18123
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License Number State | KS
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